Grosskreutz, Scott R
Grosskreutz, Scott R is an individual health care provider with primary practice located at 82 Puuhonu Pl #102, Hilo HI 96720. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grosskreutz, Scott R can be contacted via phone (808) 961-4746.Contact Information
Primary practice address
82 Puuhonu Pl #102
Hilo HI 96720
Phone: (808) 961-4746
Fax: (808) 933-2532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD5547 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 55947 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD5547 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD5547 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD5547 | Hawaii |
Profile Details
| NPI number | 1326004987 |
|---|---|
| LBN Legal business name | Grosskreutz, Scott R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326004987 | NPPES |
| Hawaii | MEDICAID | 01206601 |
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